| NPI | 1366412397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANA SUAZO Director Of Human Resources 307-745-1415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine | |
| 208600000X Surgery | |
| 208D00000X General Practice | |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| 261QR0200X Clinic/Center, Radiology | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2021-01-21 |